A to Z of MS

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A to Z of MS Bowel problems

Estimates vary about the number of people with multiple sclerosis who are affected by bowel probelms, and symptoms are thought to be underreported. However, it is believed that around half of all people with MS experience bowel problems at some stage.

Common bowel problems in MS include:

constipation and evacuation problems - which relate to the difficulties encountered in emptying the bowel;
faecal incontinence - where there is a lack of control over bowel opening

It is not uncommon for people with MS to experience both constipation and faecal incontinence at the same time.

Bowel control is an extremely complex process that involves the coordination of many different nerves and muscles. For people with MS, bowel and bladder problems have been frequently linked to lower limb dysfunction. This means that problems with mobility are often accompanied by bladder and bowel symptoms presenting addtional management difficulties. However, with the right information and support, the majority of bowel problems can be managed satisfactorily. The bowel problems factsheet has information on how symptoms are managed.

Many hospitals and primary care trusts (PCTs) now have a continence advisor or continence nursing service that deals specifically with bladder and bowel symptoms. To find services, contact NHS Choices or your local PCT or health board. The Bladder and Bowel Foundation has a map of continence clinics on their website and also offer a helpline manned by continence advisors - 0845 345 0165.